Provider Demographics
NPI:1376539726
Name:CONNIFF, CORY L (MD)
Entity type:Individual
Prefix:DR
First Name:CORY
Middle Name:L
Last Name:CONNIFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:80 W HILLCREST BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60195-3111
Mailing Address - Country:US
Mailing Address - Phone:630-339-5300
Mailing Address - Fax:630-339-5305
Practice Address - Street 1:11540 183RD PL # NE-NW
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-9496
Practice Address - Country:US
Practice Address - Phone:630-339-5300
Practice Address - Fax:630-339-5305
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-21
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-107529207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036-107-529Medicaid
ILI02411Medicare UPIN
IL036-107-529Medicaid
ILK04684Medicare PIN
ILK47682Medicare PIN
ILK04683Medicare PIN